Colic is the most common cause of death in horses and a frequent welfare emergency, encompassing a range of gastrointestinal conditions from mild gas colic to life-threatening large colon torsion.
Equine colic causes acute pain that is obvious and distressing. Horses with colic show pawing, looking at their flanks, rolling, sweating, and refusing feed. The pain of severe colic is severe enough to cause horses to throw themselves to the ground repeatedly. Large colon torsion causes ischemic pain that is excruciating, and horses in this condition are frequently in severe physiological shock. The welfare cost of surgical colic, while often necessary, includes anesthesia risk, prolonged recovery, and postoperative pain. The uncertainty about outcomes in severe cases creates significant distress for horses and owners. Prompt veterinary assessment is essential as delayed treatment worsens prognosis and prolongs suffering.